Bioethical aspects of prenatal diagnosis
Main Article Content
Keywords
Bioethics, prenatal diagnostics, pregnancy
Abstract
Prenatal diagnosis has become both a requirement and right for women, regardless of its medical practicalities or reasons. It is frequently observed that women choose to undergo prenatal checks, actively participating in the reproduction of their society’s culture and thus often considering themselves feminists i.e., women who have taken their lives into their own hands. According to some observers, this process has now been taken to excess and that from its use as a valuable cognitive procedure, prenatal diagnosis has rapidly developed into a tool for prenatal selection. A qualitative judgement is always given, starting from the 'vision' of a phantom created using technical instruments. It is as if the outcome of an examination assigns a higher or lower value to the life of an unborn child, with consequent psychological repercussions given the symbolic power of reproductive technologies used on women. The opportunities offered by diagnosis may generate new desires but also lead to new fears and a drive for measures aimed to avert them, resulting in physical pathologies and social imbalance.
References
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38. Lacasella GV, Karaboue K. A short history of human nutrition from prehistory to ancient civilizations. Progress in Nutrition 2022; 24(2):e2022135.
2. Rehmann-Sutter C. “Selective” reproduction through prenatal diagnosis?. Ethik in der Medizin 2022; 34(1):7–26.
3. Karaboue MAA, Milone V, La Casella GV et al. What will our children do when we are gone? Italian legislature does not tackle the worries of parents of disabled children. Reflections on disability. Med Histor 2022; 6(1):e2022013.
4. Mojahed S, Tabatabaei R, Reihani F, Dehghani A, Khavari F. The effect of education on anxiety of pregnant mothers before amniocentesis. J Educ Health Promot 2021; 10:61.
5. Bernetti A, La Russa R, De Sire A, et al. Cervical Spine Manipulations: Role of Diagnostic Procedures, Effectiveness, and Safety from a Rehabilitation and Forensic Medicine Perspective: A Systematic Review. Diagnostics 2022; 12(5):1056.
6. Auckland C. Knowing who to trust: Women and public health. J Med Ethics 2022; 48(8):501–3.
7. Middlemiss AL. Too big, too young, too risky: How diagnosis of the foetal body determines trajectories of care for the pregnant woman in pre-viability second trimester pregnancy loss. Sociol Health Illn 2022; 44(1):81–98.
8. Fiorini F, Granata A, Battaglia Y, Karaboue MAA. Talking about medicine through mass media. G Ital Nefrol 2019; 36(1):2019-vol1.
9. Giaconi C, Manetti, AC, Turco S, et al. Post-mortem computer tomography in ten cases of death while diving: a retrospective evaluation. Radiol Med 2022; 127(3):318–29.
10. Granata V, Coppola F, Grassi R, et al. Structured Reporting of Computed Tomography in the Staging of Neuroendocrine Neoplasms: A Delphi Consensus Proposal Front Endocrinol (Lausanne) 2021; 12:748944.
11. Cantisani V, Iannetti G, Miele V et al. Addendum to the sonographic medical act. Journal of Ultrasound 2021; 24(3):229–30.
12. Iacobellis F, Reginelli A, Berritto D et al. Pelvic floor dysfunctions: how to image patients?. Jpn J Radiol 2020; 38(1):47–63.
13. Pastorini A, Karaboue M, Di Luca A, Mario di Luca NM, Ciallella C. Medico-legal aspects of tort law patient safeguards within the Gelli-Bianco piece of legislation. Clin Ter 2018; 169(4):e170–e177.
14. Watts G, Newson AJ. To offer or request? Disclosing variants of uncertain significance in prenatal testing. Bioethics 2021; 35(9):900–9.
15. Mazzariol B, Karaboue M, Di Luca A, Di Luca NM. Guidelines, good practices and best clinical health practices: Valuable guidance for physicians and judges? Clin Ter 2018; 169(6):E292–E296.
16. Bunnik EM, Kater-Kuipers A, Galjaard R-JH, De Beaufort ID. Should pregnant women be charged for non-invasive prenatal screening? Implications for reproductive autonomy and equal access. J Med Ethics 2020; 46(3):194–8.
17. Granata V, Morana G, D’onofrio et al. Structured reporting of computed tomography and magnetic resonance in the staging of pancreatic adenocarcinoma: A delphi consensus proposal. Diagnostics 2021; 11(11):2033.
18. Raspini M, Cavalcanti R, Clementini M, Karaboue M, Sforza NM, Cairo F. Periodontitis and italians (2016-2020): Need for clinical guidelines to perform effective therapy. Dental Cadmos 2021; 89(5):346–56
19. Lippman A. Prenatal genetic testing and screening: Constructing needs and reinforcing inequities. Am J Law Med 1991; 17(1-2):15–50.
20. Nakou P. Is routine prenatal screening and testing fundamentally incompatible with a commitment to reproductive choice? Learning from the historical context. Med Health Care Philos 2021; 24(1):73–83.
21. Karaboue MAA, Ferrara M, Bertozzi G. et al. To vaccinate or not: literacy against hesitancy: Vaccination hesitancy. Med Histor 2022; 6(1):e2022014
22. Knight A, Miller J. Prenatal Genetic Screening, Epistemic Justice, and Reproductive Autonomy. Hypatia 2021; 36(1):1–21.
23. Cappabianca P, Russo GM, Atripaldi U et al. Universal Access to Advanced Imaging and Healthcare Protection: UHC and Diagnostic Imaging. Med Sci (Basel) 2021: 27;9(4):61.
24. Russo A, Reginelli A, Lacasella GV et al. Clinical Application of Ultra-High-Frequency Ultrasound. J Pers Med 2022; 12(10):1733.
25. Zanza C, Tornatore G, Naturale C et al. Cervical spine injury: clinical and medico-legal overview. Radiol Med 2023; 128(1):103–12.
26. De Luca L, Veneziano FA, Karaboue M. Late Presenters with ST-Elevation Myocardial Infarction: A Call to Action. J Clin Med 2022; 11(17):5169.
27. Kaback M, Lim-Steele J, Dabholkar D, Brown D, Levy N, Zeiger K. Tay-Sachs disease–carrier screening, prenatal diagnosis, and the molecular era. An international perspective, 1970 to 1993. The International TSD Data Collection Network. JAMA 1993; 270(19):2307–15.
28. Rodeck C, Whittle M. Fetal Medicine: Basic Science and Clinical Practice. London: Churchill Livingstone; 2009.
29. Deans Z, Hill M, Chitty LS, Lewis C. Non-invasive prenatal testing for single gene disorders: exploring the ethics. Eur J Hum Genet 2013; 21(7):713–8.
30. Lacasella GV, Karaboue K. Nutrition and hydration of patients in a persistent vegetative state. Progress in Nutrition 2022; 24(2):e2022136.
31. Palaia G, Bossù M, Pranno N, et al. Oral Pathologies in Migrants: The Experience of the “PROTECT” Project in 3023 Patients. Applied Sciences (Switzerland) 2022; 12(24):12621.
32. Karaboue M, Massaro M, karaboue karidia. When nutrition becomes artificial: A bioethical issue. Progr Nutr 2023; 25(2):e2023033.
33. Karaboue, M., Casella, G.L., Karaboue, K., Cipolloni, L., Bosco, M.A., de Simone, S. Il dibattito in Bioetica Health and disease: a multicultural dichotomy. Medicina e Morale 2023; 72(2):207–12.
34. Karaboue MAA, Massaro M, Lacasella G. Artificial nutrition and hydration: Bioethical and biolegal profiles: Artificial nutrition. Progr Nutr 2023; 25(2):e2023034.
35. Bernetti A, La Russa R, de Sire A, et al. Cervical Spine Manipulations: Role of Diagnostic Procedures, Effectiveness, and Safety from a Rehabilitation and Forensic Medicine Perspective: A Systematic Review. Diagnostics 2022; 12(5):1056.
36. Palaia G, Bossù M, Pranno N et al. Oral Pathologies in Migrants: The Experience of the “PROTECT” Project in 3023 Patients. Applied Sciences (Switzerland) 2022; 12 (24):12621.
37. De Luca L, Veneziano FA, Karaboue M Late Presenters with ST-Elevation Myocardial Infarction: A Call to Action. J Clin Med 2022; 11(17):5169.
38. Lacasella GV, Karaboue K. A short history of human nutrition from prehistory to ancient civilizations. Progress in Nutrition 2022; 24(2):e2022135.
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Dec 20, 2023
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Bioethical aspects of prenatal diagnosis. Med Histor [Internet]. 2023 Dec. 20 [cited 2024 Jun. 30];7(3):e2023050. Available from: https://mattioli1885journals.com/index.php/MedHistor/article/view/15228
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Short report: History of Medicine
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How to Cite
1.
Bioethical aspects of prenatal diagnosis. Med Histor [Internet]. 2023 Dec. 20 [cited 2024 Jun. 30];7(3):e2023050. Available from: https://mattioli1885journals.com/index.php/MedHistor/article/view/15228